Active NPI
Mason West Newsome, DC
- Chiropractor
- Kissimmee, FL
National Provider Identifier
1013560630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH12839
- Practice address
- 897 Towne Center Dr
Kissimmee, FL 34759-3473 - Phone
- (407) 478-6777
- NPI assigned
- Jul 23, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH12839 | FL | Primary |
Addresses
Primary practice location
897 Towne Center Dr
Kissimmee, FL 34759-3473
Mailing address
1967 Iowa Ave NE
Saint Petersburg, FL 33703-3425
Other practice location 1
306 S 10th St Ste 320
Haines City, FL 33844-5602
Phone (407) 478-6777
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH12839 | FL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563840000000",
"number": "1013560630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1967 IOWA AVE NE",
"city": "SAINT PETERSBURG",
"state": "FL",
"postal_code": "337033425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "897 TOWNE CENTER DR",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347593473",
"telephone_number": "407-478-6777"
}
],
"practiceLocations": [
{
"address_1": "306 S 10th St Ste 320",
"address_purpose": "LOCATION",
"city": "Haines City",
"state": "FL",
"postal_code": "338445602",
"country_code": "US",
"telephone_number": "407-478-6777",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NEWSOME",
"first_name": "MASON",
"middle_name": "WEST",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-07-23",
"last_updated": "2019-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH12839",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kissimmee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.